PDF(Pubmed)
Abstract：
(1) Background: The wording of informed consent forms could hinder their comprehension and hinder patients\' autonomous choice. The objective of this study was to analyze the readability and comprehension of anesthesia informed consent forms in a Spanish county hospital. (2) Methods: Descriptive and cross-sectional study carried out on patients who were going to undergo anesthetic techniques. The readability of the forms was analyzed using the INFLESZ tool and their subjective comprehension using an ad hoc questionnaire. (3) Results: The analyzed forms presented a \"somewhat difficult\" legibility. A total of 44.2% of the patients decided not to read the form, mainly because they had previously undergone surgery with the same anesthetic technique. The language used in the forms was considered inadequate by 49.5% of the patients and 53.3% did not comprehend it in its entirety. A statistically significant negative correlation of age and INFLESZ readability score with the overall questionnaire score was found. A statistically significant association was observed as a function of age and educational level with the different criteria of the questionnaire. (4) Conclusions: The anesthesia informed consent forms presented low readability with limited comprehension. It would be necessary to improve their wording to favor comprehension and to guarantee patients\' freedom of choice.
摘要：
（1）背景：知情同意书的措辞可能会阻碍他们的理解并阻碍患者的自主选择。这项研究的目的是分析西班牙县医院麻醉知情同意书的可读性和可理解性。（2）方法：对将要接受麻醉技术的患者进行描述性和横断面研究。使用INFLESZ工具分析表格的可读性，并使用临时问卷分析其主观理解。(3)结果：分析的表格呈现“有点困难”的可读性。共有44.2%的患者决定不阅读表格,主要是因为他们以前用相同的麻醉技术做过手术。49.5％的患者认为表格中使用的语言不足，53.3％的患者没有完全理解。发现年龄和INFLESZ可读性得分与总体问卷得分呈统计学显着负相关。根据问卷的不同标准，观察到年龄和教育水平之间存在统计学上的显着关联。（4）结论：麻醉知情同意书的可读性低，理解有限。有必要改进他们的措辞，以有利于理解并保证患者的选择自由。
